DSAEK Centration and Interface Folds: Surgical Management

PURPOSE: To describe a method to center a Descemet stripping automated endothelial keratoplasty lamellar graft and address interface folds. METHODS: A novel technique to center a Descemet stripping automated endothelial keratoplasty graft without undue manipulation of endothelial surface using a STC-6 needle passed obliquely through the anterior corneal surface to engage and progress the lenticule along the posterior surface after injection of air. RESULT: Centration of graft achieved and macroscopic folds resolved. CONCLUSIONS: Here, we describe an atraumatic and reproducible method for graft centration.